Speech Outline: How to Start an Iv

Topics: Lidocaine, Intravenous therapy, Nursing Pages: 3 (526 words) Published: April 21, 2013
How to Start an IV

Attention Getter: How many people here have ever had to get an IV in the hospital? Was it a positive or negative experience for you? If you are one of the people that said yes then you know it can be a frightening and sometimes painful experience. What I am about to explain to you comes from my 8 years of experience as an emergency room nurse starting thousands of IVs. Some of the things I tell you could help you understand the process better and ease your anxiety for any future emergency room visit you or your loved one may have.

Specific purpose: To demonstrate and explain the process of starting an IV

Credibility: As a registered nurse for eight years I start IVs on a daily basis and I am a resource nurse for nurses whose patients are difficult to start IVs on from pediatric to geriatric patients.

Thesis: Today I want to share my expertise on establishing intravenous access by explaining the process from preparation to discontinuing IV access.


I. Preparation

A. Basic preparation/Standard precautions
1. Explain procedure
2. Wash hands
3. Apply gloves
4. Position patient
5. Procedure assistant (if needed)
B. Locate vein
1. Apply tourniquet
2. Assess vein
a. Length
b. Depth
c. Circumference
d. Fullness
3. Choose IV size
4. Remove tourniquet
C. Pediatric Topical anesthetic
1. Time warranted
2. Topical EMLA Cream
3. Subcutaneous lidocaine
II. Insertion (Demo)
A. Prepare equipment
1. Set up supplies
B. Insert IV
1. Clean site (Chlorhexadine)
2. Distraction
3. Insert angiocath
a. 30 degree angle
4. Blood “flash”
5. Thread catheter
6. Remove needle
a. Apply pressure
7. Attach T connector/extension tubing
a. Secure device
b. Apply tegaderm
C. Assess patency
1. Blood collection
a. Pull syringe (3 mL, 5 mL, 10 mL)...
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